Individual provider Active NPI

Marybeth Albence, LCSW

  • Clinical Social Worker
  • Leesburg, VA
National Provider Identifier
1164069944
Registry record updated Nov 29, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
0904008221 Issued in VA
Practice address
312 E Market St
Leesburg, VA 20176-4100
Phone
(703) 493-0467
NPI assigned
Nov 29, 2019
Last updated
Nov 29, 2019By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 29, 2019

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 0904008221 VA Primary

Addresses

Primary practice location

312 E Market St
Leesburg, VA 20176-4100

Mailing address

24286 Walnut Hill PL
Aldie, VA 20105-2366
Phone (817) 304-3309

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20200113002029 VA Practitioner - Clinical Social Worker 7618302027 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Perelman School of Med at the University of Pennsylvania, 1995
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Virginia Oak Counseling LLCGroup PAC ID 4981945870, 14 clinicians

Practice addresses (Care Compare)

312 E Market St
Suite F
Leesburg, VA 20176-4173
Phone (703) 493-0467

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Two Rivers Counseling LLC CurrentSince Dec 1, 2019 Accepting new patients
Virginia Oak Counseling, LLC Clinical CurrentSince Dec 1, 2019 Accepting new patients

Locations

312 E Market St
Leesburg, VA 20176
Phone (302) 897-2528

312 E Market St
Ste F
Leesburg, VA 20176
Phone (304) 725-7176

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1574985600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1574985600000",
    "number": "1164069944",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "24286 WALNUT HILL PL",
            "city": "ALDIE",
            "state": "VA",
            "postal_code": "201052366",
            "telephone_number": "817-304-3309"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "312 E MARKET ST",
            "city": "LEESBURG",
            "state": "VA",
            "postal_code": "201764100",
            "telephone_number": "703-493-0467"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ALBENCE",
        "first_name": "MARYBETH",
        "name_prefix": "Ms.",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-11-29",
        "last_updated": "2019-11-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "VA",
            "license": "0904008221",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Leesburg, VA

Sources for this page

Verify at the official NPI Registry.